Orginal Article: Psychometric Properties of the Turkish Version of the Healthy Lifestyle Belief Scale for Adolescents

Development and validation of the climate change health protection behaviors scale for adolescents: a methodological study

This study aimed to develop and validate the Climate Change Health Protection Behaviors Scale for adolescents. A total of 1036 adolescents were recruited from middle and high schools. The development of the assessment scale was carried out in three steps: item generation, content validity evaluation, and psychometric evaluation. Psychometric testing was conducted to determine the relationship between the resulting factors and the Healthy Lifestyle Belief Scale and Climate Change Awareness Scale. A 28-item scale was developed, consisting of four factors that account for 65.0% of the variance. The Cronbach's alpha value was 0.874. Additionally, a positive correlation was observed between the Climate Change Health Protection Behaviors Scale and both the Climate Change Awareness Scale and the Healthy Lifestyle Belief Scale for adolescents. These results suggest that the Climate Change Health Protection Behaviors Scale is a reliable and valid tool for evaluating health protection behaviors related to climate change in adolescents.

The impact of social media addiction on healthy lifestyle beliefs in adolescents

OBJECTIVE

This study was designed to examine the impact of social media addiction on healthy lifestyle beliefs in adolescents.

METHOD

The study is a descriptive correlational study. The study was conducted with 722 students at middle and high school levels in a city in the eastern part of Turkey. Data were collected using the Socio-Demographic Information Form, Short Form of Social Media Addiction Scale for Adolescents, Adolescent Healthy Lifestyle Belief Scale. The data were reported using numbers, percentages, means, standard values, linear and hierarchical regression.

RESULTS

The mean age of adolescents was 14.44 ± 2.62 and their body mass index was 20.16 ± 3.72. Adolescents scored 14.43 ± 2.63 on the social media addiction scale and 55.23 ± 16.80 on the healthy lifestyle belief scale. Social media addiction explains 8.9% of the total variance in healthy lifestyle beliefs. An increase in social media addiction was found to have a statistically significant effect on healthy lifestyle beliefs. The model established for the impact of age, weight, height, and BMI added to social media addiction on healthy lifestyle beliefs was significant, and the explanatory power of the model was 11.6%.

CONCLUSION

It was concluded that social media addiction has an impact on healthy lifestyle beliefs in adolescents and that creating awareness, maintaining balance, promoting alternative activities, and fostering family-school cooperation are important in this regard.

PRACTICE IMPLICATIONS

In order to increase healthy lifestyle beliefs in adolescents, it is necessary to reduce social media addiction levels. Nursing interventions to be implemented for this purpose are important in improving and protecting adolescent health.

Healthy Lifestyle Beliefs Scale: Psychometric properties in Portuguese pregnant women

Healthy lifestyle during pregnancy influences the pregnant woman's and child's physical and mental health, impacting perinatal outcomes. Healthy lifestyle beliefs are predictors of lifestyle behaviors, requiring a valid and reliable instrument to assess them during prenatal care. The 16-item Healthy Lifestyle Belief Scale (HLBS) measures a person's beliefs about their ability to live a healthy lifestyle. This study aimed to examine the psychometric properties of a Portuguese version of the HLBS among pregnant women. A methodological study was developed in two phases: cross-cultural adaptation and evaluation of the psychometric properties of the Portuguese version in a nonprobability sample of 192 Portuguese pregnant women. The exploratory factor analysis suggested three subscales, which explained 53.8% of the total variance. Cronbach's α was 0.83 for the overall scale and for the subscales ranged between 0.71 and 0.81. The HLBS is a reliable and valid instrument to assist health professionals in assessing the ability of Portuguese pregnant women to adopt a healthy lifestyle. Assessing healthy lifestyle beliefs potentially contributes to the development of health behavior interventions in pregnant women and consequently improves perinatal outcomes through evidence-based practices.

Environmentally Responsible Purchase Intention in Pacific Alliance Countries: Geographic and Gender Evidence in the Context of the COVID-19 Pandemic

The objectives of this research were: (1) to examine the influence of environmental awareness (EA), sustainable consumption (SC) and social responsibility (SR) on the environmentally responsible purchase intention (ERPI) of consumers in the member countries of the Pacific Alliance, namely, Chile, Colombia, Mexico and Peru; and (2) to analyze whether there is a moderating effect related to the country of residence and gender of the consumer. The study was conducted under a quantitative and cross-sectional approach. The sample consisted of 1646 consumers: 24.4% from Peru (n = 402), 25.4% from Mexico (n = 418), 26.1% from Colombia (n = 401) and 24.1% from Chile (n = 397). Data analysis and hypothesis testing were performed using a multigroup Structural Equation Model (SEM). The results show a positive influence among environmental awareness (EA), sustainable consumption (SC) and social responsibility (SR) on environmentally responsible purchase intention (ERPI). Gender and country of residence were also shown to be moderating variables in these relationships. In conclusion, it can be affirmed that the participants of this study recognize the importance of acquiring environmentally friendly products. Among them, the female population is more aware of this issue. It is recommended new business models be created to provide products and services oriented to this market according to consumers’ tastes, desires and purchasing preferences; the proposals they have should be friendly to the environment and to society.

Predicting the effect of healthy lifestyle belief on attitude toward nutrition, exercise, physical activity, and weight-related self-efficacy in Turkish adolescents

OBJECTIVES

This study was conducted to examine the effect of healthy lifestyle beliefs on their attitudes toward physical activity, nutrition, exercise, and weight-related self-efficacy lifestyles in Turkish adolescents.

METHODS

This study used a methodological and descriptive design. The study was conducted with 445 adolescents aged 13-18 years. The data were collected using a Descriptive Information Form, the Healthy Lifestyle Beliefs Scale for Adolescents, the Nutrition Exercise Attitudes Scale, and the Attitudes Toward Physical Activity Scale. Mean and percentage values, t-test, ANOVA test, and linear regression analysis were used in the analysis of the research data.

RESULTS

A statistically significant difference was found between adolescents' obesity status, paternal educational level, maternal educational level, income status, and the mean scores obtained for healthy lifestyle beliefs, nutrition and exercise attitudes, physical activity attitudes, and weight-related self-efficacy, as well as between sex and mean scores for attitudes toward nutrition, exercise, and physical activity. In the model created with regression analysis, it was found that the adolescents' healthy lifestyle beliefs and sociodemographic variables explained 96.3% of their attitudes toward nutrition and exercise, 93.6% of physical activity attitudes, and 96.5% of weight-related self-efficacy levels, with statistical significance.

CONCLUSION

According to the results of the study, healthy lifestyle beliefs are an important predictor of adolescents' attitudes toward nutrition, exercise, and physical activity as well as their weight-related self-efficacy. We recommend that school nurses consider healthy lifestyle beliefs when creating intervention programs for adolescents .